Parent and staff perspectives on the benefits and barriers to communication with infants in the neonatal intensive care unit.

IF 1.3 4区 医学 Q3 NURSING
Rachel Romeo, Regina Pezanowski, Kassie Merrill, Sarah Hargrave, Anne Hansen
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引用次数: 2

Abstract

Exposure to high quantity and quality of language in the neonatal period is critical to neurocognitive development; however, Neonatal Intensive Care Unit (NICU) environments may contribute to language deprivation. Using qualitative thematic content analysis, this study aimed to characterize the knowledge and attitudes of NICU staff and patient families toward the importance of early language experience, the current NICU language environment, and the benefits and barriers of communication in the NICU. Results revealed that all respondents recognized the importance of communication for optimal cognitive development, though few understood why. Staff and family members alike recognized the role of nurses as coaches and role models in promoting communication at the bedside. Nurses generally felt that family members communicate less with their babies than family members themselves perceived, and that cell phone use has fewer communicative advantages than parents perceive. Respondents reported that patient illness, lack of time, and intimidating equipment all raise barriers to communication. These findings yield important considerations for developing educational interventions to improve NICU language environments, including a synergistic, dual focus on both staff and families. Communication in the NICU is a low cost, feasible, and accessible target with aims of ensuring optimal neurocognitive development for at-risk children.

父母和工作人员对新生儿重症监护病房中与婴儿沟通的好处和障碍的看法。
在新生儿时期接触大量和高质量的语言对神经认知发育至关重要;然而,新生儿重症监护病房(NICU)的环境可能会导致语言剥夺。本研究采用定性主题内容分析,旨在了解新生儿重症监护病房工作人员和患者家属对早期语言经验的重要性、当前新生儿重症监护病房的语言环境以及新生儿重症监护病房沟通的好处和障碍的认识和态度。结果显示,所有受访者都认识到沟通对于最佳认知发展的重要性,尽管很少有人了解其中的原因。工作人员和家属都认识到护士在促进床边沟通方面的教练和榜样作用。护士普遍认为,家庭成员与婴儿的交流比家庭成员自己认为的要少,使用手机的交流优势也比父母认为的要少。受访者报告说,病人生病、缺乏时间和令人生畏的设备都增加了沟通障碍。这些发现为制定教育干预措施以改善新生儿重症监护室的语言环境提供了重要的考虑因素,包括对工作人员和家庭的协同双重关注。新生儿重症监护病房的沟通是一种低成本、可行和可达的目标,旨在确保高危儿童的最佳神经认知发展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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